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采用逆行扩孔钻导向预防移植物-结构不匹配的微创双切口髌腱自体移植前交叉韧带重建术

Minimally Invasive 2-Incision Patellar Tendon Autograft Anterior Cruciate Ligament Reconstruction Using Retrograde Reamer Guide to Prevent Graft-Construct Mismatch.

作者信息

Koolmees Dylan S, Lamplot Joseph D, Nahr Andrew D, Coble Tori J, Azar Frederick M, Bernholt David L

机构信息

Campbell Clinic Orthopaedics, University of Tennessee Health Sciences Center, Germantown, Tennessee, U.S.A.

出版信息

Arthrosc Tech. 2024 Sep 13;14(2):103230. doi: 10.1016/j.eats.2024.103230. eCollection 2025 Feb.

DOI:10.1016/j.eats.2024.103230
PMID:40041340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11873465/
Abstract

Graft-tunnel mismatch (GTM) is a known technical challenge that can occur with anterior cruciate ligament reconstruction when using a patellar tendon autograft. Two-incision anterior cruciate ligament reconstruction is a well-established technique with excellent outcomes and can serve as an excellent tool to prevent GTM. Traditionally, 2-incision femoral tunnel drilling has been performed using an over-the-top guide through a lateral incision, but more modern retrograde reamer guides can allow this to be done percutaneously. We detail how a minimally invasive 2-incision femoral tunnel drilling technique can be used in patients with patellar tendon lengths that are longer than average to avoid GTM.

摘要

移植物-隧道不匹配（GTM）是一种已知的技术挑战，在使用髌腱自体移植物进行前交叉韧带重建时可能会出现。双切口前交叉韧带重建是一种成熟的技术，效果极佳，可作为预防GTM的理想方法。传统上，双切口股骨隧道钻孔是通过外侧切口使用经顶部导向器进行的，但更现代的逆行扩孔钻导向器可使这一操作通过经皮完成。我们详细介绍了一种微创双切口股骨隧道钻孔技术如何用于髌腱长度超过平均水平的患者，以避免GTM。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1554/11873465/4c0f43752093/gr24.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1554/11873465/47b969309d91/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1554/11873465/e868d557fe5b/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1554/11873465/d474072b6fad/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1554/11873465/e5522bf843a6/gr17.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1554/11873465/e52c56b8ef2c/gr18.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1554/11873465/f403a7374d30/gr19.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1554/11873465/eed9891bda94/gr20.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1554/11873465/af0f6b45ac61/gr21.jpg
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Knee Surg Sports Traumatol Arthrosc. 2024 Mar;32(3):656-665. doi: 10.1002/ksa.12081. Epub 2024 Feb 20.
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Modification of Outside-In Technique In Preparing Femoral Tunnel During Anterior Cruciate Ligament Reconstruction-"PL-Portal Outside-In Technique".前交叉韧带重建术中股骨隧道制备的改良外向内技术——“经髌外侧入路外向内技术”
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The "N+10 Rule" to Avoid Graft-Tunnel Mismatch in Bone-Patellar Tendon-Bone ACL Reconstruction Using Independent Femoral Tunnel Drilling.
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